| Transform Dental PLLC | |
|
7915 Us Highway 301 N Ste 220 Ellenton FL 34222-3527 | |
| (941) 315-5996 | |
| Not Available |
| Full Name | Transform Dental PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7915 Us Highway 301 N Ste 220, Ellenton, Florida |
| Authorized Official Name and Position | Vu Hoang Tran (CEO) |
| Authorized Official Contact | 7722636413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform Dental PLLC 13819 Camden Crest Ter Lakewood Ranch FL 34211-1726 Ph: (772) 263-6413 | Transform Dental PLLC 7915 Us Highway 301 N Ste 220 Ellenton FL 34222-3527 Ph: (941) 315-5996 |
| NPI Number | 1225853674 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225853674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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